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OATH OF OFFICE FOflM N0. 69 Winiomson Lpweoak co., v~cioa ruv tes¢~s
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I, ro
~__~~l , do salemnly swear that
I will support the Consti#ution of the United States and the Cons#itutian of the State of New York,
and that I will faithfully discharge the duties of
according to the best of my ability.
{Signed)
Oiiicer
Subscribed and sworn to before me this
l~ day of .2g
(Signed) ~
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